I always got hot and would wake up with pools of sweat. I bought the spendorest outlast mattress cover which did not aldd bulk and fluff which is exactly what I wanted. It is like a thick extra sheet that goes under the normal fitted sheet. Like any sheet it does move a little but u just freshen it up the next day. The pad gives u a cooling effect for a minute or 2 and does seem to regulate my hot flashes. I also bought the outlast sheets which are these sheets here and this has made big difference. Now the pillow was always a challenge and found the best cooling pillow at polar-pillow.com. This pillow is like a waterbed pillow and stays cool for hours. I never flip the pillow aymote. I LOVE IT. I spent about $XXX on these 3 items and saved me from getting a new gel mattress which was at least $XXXX. So I saved $XXXX. And you gain new sheets and pillows and a much cooler sleep. these sheets look very high end and fit my 13" memory foam mattress easily with plenty of room for a much deeper bed. The pillowcases are aslo true queem size big!.